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iKnowMed™ ContentOct_2013

October 25, 2013

Copyright © 2013 McKesson Specialty Health. All rights reserved

Content Release Notes

McKesson Specialty Health. All rights reserved.

iKnowMed™ Content Release Notes

Oct_2013

October 25, 2013

Table of Contents

1. Physician Documentation ................................

2. New Orders ................................................................

3. Directives & Considerations ................................

4. Medications ................................................................

5. Regimens ................................................................

6. Clinical Trials ................................................................

7. Charge Capture ................................................................

8. Labs and Panels ................................................................

Appendix A: Brand Name Drug Inactivation’s

Appendix B: Generic Drug Inactivations ................................

2 Copyright © 2013 McKesson Specialty Health. All rights reserved

Release NotesiKnowMed™ Content Release Notes

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A: Brand Name Drug Inactivation’s ................................................................................................

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Release Notes

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1. Physician Documentation

1.1 All Progress Notes

The following changes apply to all of the progress note types available.

1.1.1 Diagnosis Charting

• The Neuroendocrine Carcinoma stagingand to ensure alignment with values for iKnowMed Generation 2. It now contains staging for Duodenum, Ampulla of Vater, Jejunum, Ileum, Colon, and Rectum

• Breast Cancer>Current status > Metastasis

1.1.2 In-house Procedure Documentation

The following new procedures are available for selection under

• Anoscopy (captures CPT code 46600)

• Anoscopy w/biopsy (captures CPT code

• Anoscopy w/dilation (captures CPT code

• Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)

• Debridement of extensive eczematous or infected skin; up to 10% of body surface

• Destruction of internal hemorrhoid(s) by therma

• Destruction of lesion(s), anus, extensive

• Destruction of lesion(s), anus, simple; chemical

• Destruction of lesion(s), anus, simple; electrodesiccation

• Destruction of lesion(s), anus, simple; surgical excision

• Excision of single external papilla or tag, anus

• Excision of multiple external papillae or tags, anus

• Excision of thrombosed hemorrhoid, external

• Hemorrhoidectomy, internal and external, single column/groups

• Hemorrhoidectomy, internal, by rubber band ligation(s)

• Incision and drainage of ischiorectal and/or perirectal abscess

• Injection of sclerosing solution, hemorrhoids

• Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing

(captures CPT code 45300)

• Proctosigmoidoscopy, rigid; with biopsy, single or multiple

• Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique


• Removal of fecal impaction under anesthesia

• Sigmoidoscopy, flexible; diagnostic with or without collection of specimen(s) by brushing or washing

CPT code 45330)

• Sigmoidoscopy, flexible; with biopsy, single or multiple


The following changes apply to all of the progress note types available.

staging template has been reviewed for accuracy in preparation for migration ensure alignment with values for iKnowMed Generation 2. It now contains staging for

Duodenum, Ampulla of Vater, Jejunum, Ileum, Colon, and Rectum.

Metastasis now includes the option to document Visceral status

ocumentation

The following new procedures are available for selection under My Preferences > General:

)



Chemical cauterization of granulation tissue (proud flesh, sinus or fistula) (captures CPT code

Debridement of extensive eczematous or infected skin; up to 10% of body surface (captures CPT code

Destruction of internal hemorrhoid(s) by thermal energy (captures CPT code 46930)

Destruction of lesion(s), anus, extensive (captures CPT code 46924)

Destruction of lesion(s), anus, simple; chemical (captures CPT code 46900)

Destruction of lesion(s), anus, simple; electrodesiccation (captures CPT code 46910)

Destruction of lesion(s), anus, simple; surgical excision (captures CPT code 46922)

Excision of single external papilla or tag, anus (captures CPT code 46220)

Excision of multiple external papillae or tags, anus (captures CPT code 46230)

Excision of thrombosed hemorrhoid, external (captures CPT code 46320)

Hemorrhoidectomy, internal and external, single column/groups (captures CPT code 46255)

Hemorrhoidectomy, internal, by rubber band ligation(s) (captures CPT code 46221)

nage of ischiorectal and/or perirectal abscess (captures CPT code 46040)

Injection of sclerosing solution, hemorrhoids (captures CPT code 46500)

Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing

Proctosigmoidoscopy, rigid; with biopsy, single or multiple (captures CPT code 45305)

Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique

on under anesthesia (captures CPT code 45915)

Sigmoidoscopy, flexible; diagnostic with or without collection of specimen(s) by brushing or washing

Sigmoidoscopy, flexible; with biopsy, single or multiple (captures CPT code 45331)


r accuracy in preparation for migration ensure alignment with values for iKnowMed Generation 2. It now contains staging for Stomach,

Visceral status



46255)

46040)

Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing

Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique

Sigmoidoscopy, flexible; diagnostic with or without collection of specimen(s) by brushing or washing (captures

1.2 Progress Note 2

The following changes apply only to the Progress Note 2 template.

1.2.1 Physical Exam (PE)

Under PE > Eyes > Normal negatives the following choice

• Pupils equal and round

1.2.2 Completed treatment details

Completed treatment details for the following diagnoses now represent current Pathway treatment options

• Breast cancer, female

• Breast cancer, female, second primary

• Breast cancer, male

• Ovarian cancer

• Ovarian cancer, second primary

1.3 Radiation Oncology Note

The following E/M is now available:

• 77435: Stereotactic body radiation therapy, treatment management

1.4 *Surgical Note

A new template has been created for Surgeon dictation. The name of the template is called

flowsheet category has been created as well, called

assist with adding this Category to flowsheet view.

The template will display the following services:


The following changes apply only to the Progress Note 2 template.

the following choice is now available:

Completed treatment details

for the following diagnoses now represent current Pathway treatment options

Breast cancer, female, second primary

77435: Stereotactic body radiation therapy, treatment management

Surgeon dictation. The name of the template is called Surgical Note

n created as well, called Surgical. Note: iKnowMed Super Users or Account Managers can

assist with adding this Category to flowsheet view.

The template will display the following services:


for the following diagnoses now represent current Pathway treatment options:

Surgical Note. A new

iKnowMed Super Users or Account Managers can

1.5 Problem List Tool

1.5.1 Additions

The following items are now available for documentation in the Problem List Tool and appear on the Charge Capture

Report (CCR).

Problem List Term

Granulosa cell tumor

Granulosa cell-theca cell tumor

Malignant neoplasm without specification of site;

disseminated

1.5.2 Problem Terms No Longer Available

The following term is no longer available in the

• Agammaglobulinemia

2. New Orders

2.1 Additions

• PET/CT with Sodium Floride-18 (PET/CT NaF

• Gynecology Oncologist Consult

3. Directives & Considerations

3.1 Insurance Alert

The following selections are added to the

• Indigent patient

• Mail order prescriptions

• Medicare only

• Patient has a pre-existing clause

3.2 Special Clinical Considerations

The following selections are added to the Special clinical considerations

• Deaf

• Dementia

3.3 Allergies The following service is added to Allergies

• Monocryl sutures


available for documentation in the Problem List Tool and appear on the Charge Capture

CCR Display (ICD9 Code)

Granulosa cell tumor 236.2

Granulosa cell-theca cell tumor 236.2

Malignant neoplasm without specification of site; Malignant neoplasm without specification of site;

disseminated 199.0

Problem Terms No Longer Available

no longer available in the Problem List Tool:

18 (PET/CT NaF-18)

Directives & Considerations

are added to the Insurance alert:

onsiderations

Special clinical considerations:

s:


available for documentation in the Problem List Tool and appear on the Charge Capture

236.2

Malignant neoplasm without specification of site;

4. Medications

4.1 FDB Drug Update

The iKnowMed drug library is updated with First Data Bank’s (FDB) most recent drug information. Inactivated drugs

are replaced with active drugs when appropriate in all regimen templates. Regimens already in charts are not

changed. Attempting to chart on inactivated drugs will display one of the prompts below. Follow the instructions in

the prompt to continue with your order. The alerts are as follows:

1. “The generic drug is no longer available. Please create a new order."

2. "This brand has been discontinued. Do you want to prescribe the generic drug?"

3. "The database has been updated. Please click OK to order the alternative: [alternative drug]"

4.2 Additions

• INCB024360 invest, po solid

• INCB024360 invest or placebo, po solid

• Chlorella, po solid

• OraSoothe Oral Rinse, po liq

• Eagle-BDM invest, inj

• Eagle-BDM invest or placebo, inj

• Teva-BDM, invest, inj

• Teva-BDM, invest or placebo, inj

• T-VEC invest, inj

• Talimogene laherparepvec invest, inj

• Palbociclib invest, po solid

• Palbociclib invest or placebo, po solid

• Niraparib invest, po solid

• Niraparib invest or placebo, po solid

• MSB0010718C invest, inj

• MSB0010718C invest or placebo, inj

• Tbo-filgrastim, syringe

• Axitinib or placebo, po solid

• Topical for neuropathic pain with a large inflammatory compone

• Omeprazole magnesium, po solid [supplied by sponsor]

4.3 Updates

• DCDS4501A invest, inj: 1.0 mg/kg, 1.5 mg/kg, 2.0 mg/kg

• Exemestane, po solid [supplied by sponsor]:

• Mekinist, po solid: 1 mg Tablet(s) is no longer an available form

• Topical for Radiation Inflammation & Musculoskeletal, Top; added additional instructions

Baclofen 2%, Bupivacaine 1%, gabapentin 6%, Pentoxifylline 5%, Ibuprofen 3%

Capsule(s) and 80 mg Capsule(s) are

• Trastuzumab, inj: route IT-Ommaya is now available

• XL184 invest or placebo, po solid: 20 mg Capsule(s)




ed. Attempting to chart on inactivated drugs will display one of the prompts below. Follow the instructions in

the prompt to continue with your order. The alerts are as follows:

“The generic drug is no longer available. Please create a new order."

and has been discontinued. Do you want to prescribe the generic drug?"

"The database has been updated. Please click OK to order the alternative: [alternative drug]"

INCB024360 invest or placebo, po solid

cebo, po solid

Topical for neuropathic pain with a large inflammatory component, top

Omeprazole magnesium, po solid [supplied by sponsor]

1.0 mg/kg, 1.5 mg/kg, 2.0 mg/kg are now available amounts

Exemestane, po solid [supplied by sponsor]: blinded capsule(s) is now an available form

is no longer an available form

Topical for Radiation Inflammation & Musculoskeletal, Top; added additional instructions

Baclofen 2%, Bupivacaine 1%, gabapentin 6%, Pentoxifylline 5%, Ibuprofen 3%XL184 invest, po solid:

now available forms

is now available

20 mg Capsule(s) and 80 mg Capsule(s) are now available forms




ed. Attempting to chart on inactivated drugs will display one of the prompts below. Follow the instructions in

"The database has been updated. Please click OK to order the alternative: [alternative drug]"

Topical for Radiation Inflammation & Musculoskeletal, Top; added additional instructions - Diclofenac 3%,

XL184 invest, po solid: 20 mg

now available forms

5. Regimens

This section does not include clinical trial regimens.

5.1 Updates

Regimens for the following diagnoses have been updated based on the Collaborative Care Committee voting. Changes

include but are not limited to reference update, drug infusion instruction updates, renaming of regimens,

premedication template updates and number of cycles.

• LMWH (All Diagnoses)

• MAID (Soft Tissue Sarcoma)

5.2 Additions

The following regimens were added to the Regimen Library:

Regimen Name

Fluorouracil (CIV) + Leucovorin + Oxaliplatin +

Irinotecan (FOLFOXIRI)

Capecitabine + Bevacizumab

Irinotecan + Oxaliplatin (IROX)

Ferric Carboxymaltose (Injectafer)

Tbo-filgrastim (Granix)

Liposomal cytarabine (DepoCyt)

Liposomal Vincristine (Marqibo)

6. Clinical Trials

6.1 Updates

The USON Clinical Trials listed in the table below are updated:

USON 12160 Sotatercept Q21D

USON 12160 Extension Period Sotatercept Q21D

USON 13053 BBI608 (PO daily) + Paclitaxel (D3,10,17) Q28D

USON 08223 Trastuzumab + Vinorelbine +

or Placebo


trial regimens.



e updates and number of cycles.

The following regimens were added to the Regimen Library:

Diagnosis

Fluorouracil (CIV) + Leucovorin + Oxaliplatin + Colon Cancer, Rectal Cancer

Colon Cancer, Rectal Cancer

Colon Cancer, Rectal Cancer

Iron Deficiency Anemia

All Diagnoses

Lymphoma, Non-Hodgkins

Acute Lymphoblastic Leukemia

listed in the table below are updated:

Updated Reference Information

Updated Drug Service Order

Updated Regimen Instructions

Other Changes

X X X

USON 12160 Extension Period Sotatercept Q21D X X X

USON 13053 BBI608 (PO daily) + Paclitaxel (D3,10,17) Q28D X

USON 08223 Trastuzumab + Vinorelbine + Everolimus (PO) X X





Updated Drug Service Order Information


Other Changes

USON 12120 BKM120 or Placebo (PO) + Fulvestrant

USON 11027 BKM120 or Placebo (PO) + Paclitaxel (D1,8,15,22)

Q28D

USON 11278 (Cycle 1) Fulvestrant (D1,15) + BKM120 or

Placebo (D15+)

USON 11278 (Cycle 2+) Fulvestrant (D1) + BKM120 or Placebo

(Daily) Q28D

USON 12073 Phase 2 Arm A Everolimus (PO) Lead

USON 12073 Phase 2 Arm A Everolimus (PO) + BNC105P

(D1,8) Q21D

USON 12073 Phase 2 Arm B Everolimus (PO) Daily

USON 12073 Phase 2 Arm B BNC105P Monotherapy

6.2 Additions

This release includes additional USON Clinical Trial regimens based on information published by the USON Research

Department's Weekly Regulatory Memorandums and Site Approval Notifications for participatin

regimens are created and clinical trial screening in the physician note templates has been updated.

7. Charge Capture

7.1 ICD-9 Codes

The following Problem List terms have been updated capture the ICD

• Atypical fibroxanthoma 238.1

• Goodpasture’s syndrome 446.21

• Hypercalcemia of malignancy 275.42

• Malignant lymphoma, lymphoplasmacytic 200.80

• Myelodysplasia 238.75

7.2 HCPCS and CPT Code Updates

• Belatacept, inj Nulojix, inj – Captures

• Liposomal doxorubicin – The description that prints on the

text (in italics): Q 2050 Doxorubicin hcl, Liposomal, inj 10 mg



Updated Drug Service Order


Other Changes

USON 12120 BKM120 or Placebo (PO) + Fulvestrant X X

USON 11027 BKM120 or Placebo (PO) + Paclitaxel (D1,8,15,22) X X

USON 11278 (Cycle 1) Fulvestrant (D1,15) + BKM120 or X X X

2+) Fulvestrant (D1) + BKM120 or Placebo X X X

USON 12073 Phase 2 Arm A Everolimus (PO) Lead-In X X

USON 12073 Phase 2 Arm A Everolimus (PO) + BNC105P X X

USON 12073 Phase 2 Arm B Everolimus (PO) Daily X X

Phase 2 Arm B BNC105P Monotherapy X X


Department's Weekly Regulatory Memorandums and Site Approval Notifications for participatin


The following Problem List terms have been updated capture the ICD-9 codes indicated:

Malignant lymphoma, lymphoplasmacytic 200.80

HCPCS and CPT Code Updates

aptures J0485 per 1 mg

he description that prints on the CCR has been updated to include the following new

Doxorubicin hcl, Liposomal, inj 10 mg (Commercial payors may use J9002)



Updated Drug Service Order Information


Other Changes


Department's Weekly Regulatory Memorandums and Site Approval Notifications for participating customers. New


has been updated to include the following new

rcial payors may use J9002)

8. Labs and Panels

8.1 Additions

• Citrobacter koseri sensitivity

• Fresh frozen plasma panel

• HIV rapid test

• Interleukin-2 receptor soluble

• Lower respiratory culture panel

• Lyme antibodies, IgG/IgM, TV

• Macrophage, perionteal fluid

• Plasma cell, peritoneal fluid

8.2 Updates

• ABG panel

• Platelet aggegration panel

• CBC w/ man diff: Extra red top is added to Instructions

• CBC w/ auto diff: Extra red top is added to Instr

• Complete blood count without differential:


• Other cell, peritoneal fluid

• Patient antigen information

• PFA screen, Epinephrine

• Protein S deficiency profile

• Reference lab panel

• Vancomycin dose finish time

• Vancomycin dose start time

Extra red top is added to Instructions

Extra red top is added to Instructions

Complete blood count without differential: Extra red top is added to Instructions


Appendix A: Brand Name Drug

Drug Name

Acetaminophen

Acetaminophen

Acetaminophen, drops

Acetaminophen, drops

Acetaminophen, po solid

Acetaminophen/chlorpheniramine, po solid

Acetaminophen/dp-hydramine, po solid

Alfentanil hcl, inj

Aluminum hydroxide, top

Antihemophilic factor, hum rec, kit

Antihemophilic factor, human, kit

Antipyrine/benzocaine, drops

Aspirin, po solid

Aspirin/acetaminophen/caffeine, po solid

Aspirin/calcium carbonate/mag, po solid

Benazepril hcl, po solid

Benazepril/hydrochlorothiazide, po solid

Bromfenac sodium, drops Butalb/acetaminophen/caffeine, po solid

Butalbital/acetaminophen, po solid

Butalbital/acetaminophen, po solid

Calcium carb & lact/vitamin d3, po solid

Calcium carbonate/vitamin d3, po solid

Calcium carbonate/vitamin d3, po solid

Chloroquine phosphate, po solid

Clotrimazole, top

Clotrimazole, top

Cyanocobalamin/fa/pyridoxine, po solid

D-methorphan/acetamin/doxylamn

D-methorphan/pe/acetaminophen

D-methorphan/pe/acetaminophen, po solid


: Brand Name Drug Inactivation’s

Removed Brand Name

Child triaminic fever reducer (acetaminophen)

Infant triaminic fever reducer (acetaminophen)

Infant's acetaminophen, drops (acetaminophen)

Silapap, drops (acetaminophen)

Genapap, po solid (acetaminophen)

chlorpheniramine, po solid Coricidin, po solid (acetaminophen/chlorpheniramine)

Excedrin pm, po solid (acetaminophen/dp

Alfentanil hydrochloride, inj (alfentanil hcl)

Dermadrox, top (aluminum hydroxide)

Refacto, kit (antihemophilic factor, hum rec)

Koate-dvi, kit (antihemophilic factor, human)

Aurax, drops (antipyrine/benzocaine)

Halfprin, po solid (aspirin)

Aspirin/acetaminophen/caffeine, po solid Excedrin menstrual complete, po solid (aspirin/acetaminophen/caffeine)

Aspirin/calcium carbonate/mag, po solid Bufferin, po solid (aspirin/calcium carbonate/mag)

Lotensin, po solid (benazepril hcl)

Benazepril/hydrochlorothiazide, po solid Lotensin hct, po solid (benazepril/hydrochlorothiazide)

Bromday, drops (bromfenac sodium) Butalb/acetaminophen/caffeine, po solid Orbivan, po solid (butalb/acetaminophen/caffeine)

Bupap, po solid (butalbital/acetaminophen)

Orbivan cf, po solid (butalbital/acetaminophen)

Calcet, po solid (calcium carb & lact/vitamin d3)

Calcarb 600 with vitamin d, po solid (calcium carbonate/vitamin d3)

Oysco 500+d, po solid (calcium carbonate/vitamin d3)

Aralen phosphate, po solid (chloroquine phosphate)

Desenex, top (clotrimazole)

Gyne-lotrimin, top (clotrimazole)

/pyridoxine, po solid Folastin, po solid (cyanocobalamin/fa/pyridoxine)Delsym nighttime multi-symptom (d-methorphan/acetamin/doxylamn) Theraflu severe cold & cough (d-methorphan/pe/acetaminophen)

methorphan/pe/acetaminophen, po solid Comtrex cold & cough, po solid (d-methorphan/pe/acetaminophen)


Removed Brand Name

Child triaminic fever reducer (acetaminophen)

Infant triaminic fever reducer (acetaminophen)

Infant's acetaminophen, drops (acetaminophen)

Coricidin, po solid (acetaminophen/chlorpheniramine)

Excedrin pm, po solid (acetaminophen/dp-hydramine)

Alfentanil hydrochloride, inj (alfentanil hcl)

Refacto, kit (antihemophilic factor, hum rec)

dvi, kit (antihemophilic factor, human)

solid (aspirin/calcium carbonate/mag)

Lotensin hct, po solid (benazepril/hydrochlorothiazide)

Orbivan, po solid (butalb/acetaminophen/caffeine)

Bupap, po solid (butalbital/acetaminophen)

/acetaminophen)

Calcet, po solid (calcium carb & lact/vitamin d3) Calcarb 600 with vitamin d, po solid (calcium

Oysco 500+d, po solid (calcium carbonate/vitamin d3)

Aralen phosphate, po solid (chloroquine phosphate)

Folastin, po solid (cyanocobalamin/fa/pyridoxine)

D-methorphan/pe/dexbromphenir, po liq

Dextran 70/hypromellose, drops

Dextromethorphan hbr, po liq

Diltiazem hcl, po solid SR

Diphenhydra/phenyleph/acetamin

Diphenhydra/phenyleph/acetamin

Dm hb/pe/acetaminophen/chlorph, po solid

Dm hb/pe/acetaminophen/chlorph, po solid

Docosahexanoic acid, po solid

Fat emulsions

Fexofenadine hcl

Flecainide acetate, po solid

Flu vacc qs 2013-14(36mos+)/pf, inj

Flu vacc qs 2013-14(36mos+)/pf, syringe

Flu vaccine 2013(6-35mos)/pf, syringe

Folic acid/vit bcomp&c/cu/znox, po solidGlucagon,human recombinant, kit

Glycerin/witch hazel leaf

Guaifen/phenyleph/acetaminophn

Guaifenesin

Guaifenesin

Guaifenesin, po solid

Guaifenesin/d-methorphan hb/pe Guaifenesin/d-methorphan hb/pe

Guaifenesin/d-methorphan hb/pe, po liq

Guaifenesin/dextromethorphan

Guaifenesin/dextromethorphan Guaifenesin/dm/pseudoephedrine, po liq

Hepatitis b virus vaccine/pf, inj

Hepatitis b virus vaccine/pf, syringe

Hydrocodone bit/acetaminophen, po solid

Hydrocortisone, top

Hydroquinone, top

Hydroquinone, top

Hydroquinone/ferric oxide, top

Iron polysaccharides complex, po solid

Levothyroxine sodium, po solid


methorphan/pe/dexbromphenir, po liq Panatuss dxp, po liq (d-methorphan/pe/dexbromphenir)

Akwa tears renewed, drops (dextran 70/hypromellose)

Triaminic, po liq (dextromethorphan hbr)

Diltia xt, po solid sr (diltiazem hcl)

Theraflu (diphenhydra/phenyleph/acetamin)

Theraflu warming relief (diphenhydra/phenyleph/acetamin)

Dm hb/pe/acetaminophen/chlorph, po solid Comtrex cold-cough day-night, po solid (dm hb/pe/acetaminophen/chlorph)

Dm hb/pe/acetaminophen/chlorph, po solid Comtrex cold-cough nighttime, po solid (dm hb/pe/acetaminophen/chlorph)

Prenatal dha, po solid (docosahexanoic acid)

Liposyn ii (fat emulsions)

Allegra odt (fexofenadine hcl)

Tambocor, po solid (flecainide acetate)

Fluzone 2013-2014, inj (flu vacc qs 2013-14(36mos+)/pf)

14(36mos+)/pf, syringe Fluzone 2013-2014, syringe (flu vacc qs 2013Fluzone pedi 2013-2014, syringe (flu vaccine 2013(635mos)/pf)

Folic acid/vit bcomp&c/cu/znox, po solid Diatx zn, po solid (folic acid/vit bcomp&c/cu/znox)Glucagen, kit (glucagon,human recombinant)

Peries 40 pads (glycerin/witch hazel leaf)

Theraflu (guaifen/phenyleph/acetaminophn)

Buckley's chest congest mix (guaifenesin)

Children's mucinex (guaifenesin)

Diabetic tussin ex, po solid (guaifenesin)

Bio-tussi (guaifenesin/d-methorphan hb/pe)Bio-tussi pediatric (guaifenesin/d-methorphan hb/pe)

methorphan hb/pe, po liq Broncotron-d, po liq (guaifenesin/d-methorphan hb/pe)

Broncotron (guaifenesin/dextromethorphan)

Recofen d (guaifenesin/dextromethorphan)/dm/pseudoephedrine, po liq Entre-cough, po liq (guaifenesin/dm/pseudoephedrine)

Engerix-b, inj (hepatitis b virus vaccine/pf)

Engerix-b, syringe (hepatitis b virus vaccine/pf)

Hydrocodone bit/acetaminophen, po solid Co-gesic, po solid (hydrocodone bit/acetaminophen)

Itch-x hc, top (hydrocortisone)

Eldoquin forte, top (hydroquinone)

Eldoquin, top (hydroquinone)

Eldopaque forte, top (hydroquinone/ferric oxide)

Pic 200, po solid (iron polysaccharides complex)

Levothroid, po solid (levothyroxine sodium)


methorphan/pe/dexbromphenir)

tears renewed, drops (dextran 70/hypromellose)

Triaminic, po liq (dextromethorphan hbr)

acetamin)

Theraflu warming relief (diphenhydra/phenyleph/acetamin) night, po solid (dm

cough nighttime, po solid (dm

Prenatal dha, po solid (docosahexanoic acid)

14(36mos+)/pf)

2014, syringe (flu vacc qs 2013-14(36mos+)/pf) 2014, syringe (flu vaccine 2013(6-

Diatx zn, po solid (folic acid/vit bcomp&c/cu/znox) glucagon,human recombinant)

Theraflu (guaifen/phenyleph/acetaminophn)

methorphan hb/pe) methorphan hb/pe)

methorphan hb/pe)

Broncotron (guaifenesin/dextromethorphan)

Recofen d (guaifenesin/dextromethorphan) cough, po liq (guaifenesin/dm/pseudoephedrine)

b, inj (hepatitis b virus vaccine/pf)

b, syringe (hepatitis b virus vaccine/pf)

gesic, po solid (hydrocodone bit/acetaminophen)

Eldopaque forte, top (hydroquinone/ferric oxide)

Pic 200, po solid (iron polysaccharides complex)

Levothroid, po solid (levothyroxine sodium)

Lomustine, po solid

Loratadine, po solid

Loxapine succinate, po solid Magnesium salicylate, po solid

Menthol, po solid

Menthol, top Methylprednisolone sod succ, inj

Metoprolol tartrate, po solid

Metoprolol/hydrochlorothiazide, po solid

Miconazole nitrate, aero

Milk based formula/corn starch

Morphine sulfate/pf, inj

Multivitamin w/iron, minerals, po solid

Multivitamin with minerals, po solid

Multivitamin, po solid

Multivitamin/iron/folic acid, po solid

Multivitamins with iron, po solid Mv,iron,min/fa/dietary cmb.24, po solid

Nicotine polacrilex, po solid

Nifedipine, po solid SR

Norethindrone, po solid

Nut.tx.glucose intolerance,soy

Nutritional supplement

Om-3/dha/epa/b12/fa/b6/phytost, po solid

Opium tincture

Oxymetazoline hcl

Pentoxifylline, po solid SR

Petrolat,wht/min oil/sod chl, top

Phenazopyridine hcl, po solid

Phenylephrine hcl

Phenylephrine hcl/acetaminophn, po solid

Phenylephrine/acetaminophen/cp, po solid




Ceenu, po solid (lomustine)

Alavert, po solid (loratadine)

Loxitane, po solid (loxapine succinate) Doan's extra strength, po solid (magnesium salicylate)

Cough drops, po solid (menthol)

Berri-freez, top (menthol) A-methapred, inj (methylprednisolone sod succ)

Lopressor, po solid (metoprolol tartrate)

/hydrochlorothiazide, po solid Lopressor hct, po solid (metoprolol/hydrochlorothiazide)

Cruex, aero (miconazole nitrate)

Resource dairy thick (milk based formula/corn starch)

Morphine sulfate, inj (morphine sulfate/pf)

Complete multivitamin, po solid (multivitamin w/iron, minerals)

Super vikaps, po solid (multivitamin with minerals)

Daily diet support, po solid (multivitamin)

Sentry perform, po solid (multivitamin/iron/folic acid)

Chewable multivitamin w-iron, po solid (multivitamins withiron)

Mv,iron,min/fa/dietary cmb.24, po solid Super multiple, po solid (mv,iron,min/fa/dietary cmb.24)

Nicorelief, po solid (nicotine polacrilex)

Nifediac cc, po solid sr (nifedipine)

Micronor, po solid (norethindrone)

Glucerna hunger smart (nut.tx.glucose intolerance,soy)

Boost breeze (nutritional supplement)

3/dha/epa/b12/fa/b6/phytost, po solid Mi-omega nf, po solid (om-3/dha/epa/b12/fa/b6/phytost)

Opium (opium tincture)

Mucinex (oxymetazoline hcl)

Trental, po solid SR (pentoxifylline)

Dry eyes, top (petrolat,wht/min oil/sod chl)

Re-azo, po solid (phenazopyridine hcl)

4 way (phenylephrine hcl)

Phenylephrine hcl/acetaminophn, po solid Excedrin sinus headache, po solid (phenylephrine hcl/acetaminophn)

/acetaminophen/cp, po solid Comtrex flu therapy, po solid (phenylephrine/acetaminophen/cp)

Phenylephrine/acetaminophen/cp, po solid Comtrex severe cold-sinus, po solid (phenylephrine/acetaminophen/cp)

Phenylephrine/acetaminophen/cp, po solid Effervescent cold relief, po solid (phenylephrine/acetaminophen/cp)


Doan's extra strength, po solid (magnesium salicylate)

methapred, inj (methylprednisolone sod succ)

Lopressor hct, po solid (metoprolol/hydrochlorothiazide)

Resource dairy thick (milk based formula/corn starch)

Morphine sulfate, inj (morphine sulfate/pf) Complete multivitamin, po solid (multivitamin w/iron,

Super vikaps, po solid (multivitamin with minerals)

Daily diet support, po solid (multivitamin)

Sentry perform, po solid (multivitamin/iron/folic acid)

iron, po solid (multivitamins with

Super multiple, po solid (mv,iron,min/fa/dietary cmb.24)

Glucerna hunger smart (nut.tx.glucose intolerance,soy)

3/dha/epa/b12/fa/b6/phytost)

/min oil/sod chl)

Excedrin sinus headache, po solid (phenylephrine

Phenylephrine/chlorpheniramine, drops

Phenylephrine/diphenhydramine



Phenylephrine/shk lv/mo/pet,wh, top

Pnv,ca42/iron/fa/lmefol ca/dha, po solid

Pnv106/iron/fa/om3/dha/epa

Pnv66/iron fumarate/fa/dss/dha, po solid

Pseudoephedrine/brompheniramin, drops

Psyllium seed

Psyllium seed

Psyllium seed (with dextrose)

Risperidone

Salicylic acid, top

Simethicone, drops

Sodium chloride, drops

Sodium ferric gluconat/sucrose, inj

Teniposide, inj

Thyroid,pork, po solid

Thyroid,pork, po solid

Vitamin e, po solid

Appendix B: Generic Drug Inactivations

Enfuvirtide, kit

Guaifenesin/acetaminophen

Hydromorphone hcl/pf, syringe

Inulin

Multivitamins with iron, drops

Nut. tx for pku, #8, po solid

Sodium bicarbonate/sodium cit


Phenylephrine/chlorpheniramine, drops Trigofen, drops (phenylephrine/chlorpheniramine)

Child delsym nighttime c-c (phenylephrine/diphenhydramine) Delsym nighttime cough-cold (phenylephrine/diphenhydramine)

Zoden pd (phenylephrine/diphenhydramine)

Preparation h, top (phenylephrine/shk lv/mo/pet,wh)

Pnv,ca42/iron/fa/lmefol ca/dha, po solid L-methylfolate pnv dha, po solid (pnv,ca42/iron/fa/lmefol ca/dha)

Duet dha (pnv106/iron/fa/om3/dha/epa)

Pnv66/iron fumarate/fa/dss/dha, po solid Prenexa, po solid (pnv66/iron fumarate/fa

Pseudoephedrine/brompheniramin, drops Tl-hist pd, drops (pseudoephedrine/brompheniramin)

Konsyl (psyllium seed)

Metamucil (psyllium seed)

Natural psyllium fiber (psyllium seed (with dextrose))

Risperidone m-tab (risperidone)

Rapid clear, top (salicylic acid)

Equalizer gas relief, drops (simethicone)

Children's saline, drops (sodium chloride)

Nulecit, inj (sodium ferric gluconat/sucrose)

Vumon, inj (teniposide)

Westhroid, po solid (thyroid,pork)

Westhroid-p, po solid (thyroid,pork)

Formula e, po solid (vitamin e)

: Generic Drug Inactivations


Trigofen, drops (phenylephrine/chlorpheniramine)

Zoden pd (phenylephrine/diphenhydramine)

Preparation h, top (phenylephrine/shk lv/mo/pet,wh) methylfolate pnv dha, po solid (pnv,ca42/iron/fa/lmefol

Duet dha (pnv106/iron/fa/om3/dha/epa)

Prenexa, po solid (pnv66/iron fumarate/fa/dss/dha)

hist pd, drops (pseudoephedrine/brompheniramin)

seed (with dextrose))

Children's saline, drops (sodium chloride)

Nulecit, inj (sodium ferric gluconat/sucrose)

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